This study investigates the financial performance and resource utilization of American hospitals. To compare performance, hospitals were categorized into independent, networks, and system hospitals, based on structure and characteristics. For the study acute care general hospitals in 100 largest cities in the United States are selected, and factors influencing financial performance and resources utilizing efficiency are identified. The 2007 AHA annual survey, Medicare claims report, and CMS data are used for this study. In initial comparison of each type of hospitals, not only pure network members showed a significant positive difference in cash flow, but also pure system members revealed a significant positive difference in prices and costs. After controlling the control factors to perform regression analysis, however, only independent hospitals had a significantly positive relationship with cash flow. Profitability of network members had a significantly positive relationship with occupancy rate after controlling the control factors. In addition, network hospitals showed efficiency in length of stay although it was not statistically significant.
","abstract_html":"<p>This study investigates the financial performance and resource utilization of American hospitals. To compare performance, hospitals were categorized into independent, networks, and system hospitals, based on structure and characteristics. For the study acute care general hospitals in 100 largest cities in the United States are selected, and factors influencing financial performance and resources utilizing efficiency are identified. The 2007 AHA annual survey, Medicare claims report, and CMS data are used for this study. In initial comparison of each type of hospitals, not only pure network members showed a significant positive difference in cash flow, but also pure system members revealed a significant positive difference in prices and costs. After controlling the control factors to perform regression analysis, however, only independent hospitals had a significantly positive relationship with cash flow. Profitability of network members had a significantly positive relationship with occupancy rate after controlling the control factors. In addition, network hospitals showed efficiency in length of stay although it was not statistically significant.</p>","abstract_has_math":false,"creators":["Lee, Hae Ho"],"institution":null,"degree_name":"Dr.P.H.","degree_level":"Campus Access Dissertation","degree_discipline":"Health Services and Policy Management","degree_department":null,"school":null,"contributors":["Samuel L. Baker"],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2010,"date_issued":"2010-01-01T08:00:00Z","date_published":"2010-01-01T08:00:00Z","updated_at":"2026-07-24T04:36:50Z","subjects":["Health Services Administration","Medicine and Health Sciences","Public Health","Hospital","Network","Performance","Resource Utilization"],"languages":[],"rights":["© 2010, Hae Ho Lee"],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"https://scholarcommons.sc.edu/etd/361","outbound_label":"Repository record","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor","label":"Contributor","values":["Samuel L. Baker"]},{"key":"dc:creator","label":"Author","values":["Lee, Hae Ho"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"thesis:degree_discipline","label":"Discipline","values":["Health Services and Policy Management"]},{"key":"thesis:degree_level","label":"Degree Level","values":["Campus Access Dissertation"]},{"key":"thesis:degree_name","label":"Degree Name","values":["Dr.P.H."]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Health Services Administration","Medicine and Health Sciences","Public Health","Hospital","Network","Performance","Resource Utilization"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:rights","label":"Dc Rights","values":["© 2010, Hae Ho Lee"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["https://scholarcommons.sc.edu/etd/361"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["This study investigates the financial performance and resource utilization of American hospitals. To compare performance, hospitals were categorized into independent, networks, and system hospitals, based on structure and characteristics. For the study acute care general hospitals in 100 largest cities in the United States are selected, and factors influencing financial performance and resources utilizing efficiency are identified. The 2007 AHA annual survey, Medicare claims report, and CMS data are used for this study. In initial comparison of each type of hospitals, not only pure network members showed a significant positive difference in cash flow, but also pure system members revealed a significant positive difference in prices and costs. After controlling the control factors to perform regression analysis, however, only independent hospitals had a significantly positive relationship with cash flow. Profitability of network members had a significantly positive relationship with occupancy rate after controlling the control factors. In addition, network hospitals showed efficiency in length of stay although it was not statistically significant.
"]},{"key":"dc:title","label":"Title","values":["Review of Financial Performance and Efficiency Resources Utilization of Hospitals: Lessons Learned From U.S. Hospitals"]}]}],"canonical_facts":{"dc:contributor":["Samuel L. Baker"],"dc:creator":["Lee, Hae Ho"],"dc:description.abstract":["This study investigates the financial performance and resource utilization of American hospitals. To compare performance, hospitals were categorized into independent, networks, and system hospitals, based on structure and characteristics. For the study acute care general hospitals in 100 largest cities in the United States are selected, and factors influencing financial performance and resources utilizing efficiency are identified. The 2007 AHA annual survey, Medicare claims report, and CMS data are used for this study. In initial comparison of each type of hospitals, not only pure network members showed a significant positive difference in cash flow, but also pure system members revealed a significant positive difference in prices and costs. After controlling the control factors to perform regression analysis, however, only independent hospitals had a significantly positive relationship with cash flow. Profitability of network members had a significantly positive relationship with occupancy rate after controlling the control factors. In addition, network hospitals showed efficiency in length of stay although it was not statistically significant.
"],"dc:identifier":["https://scholarcommons.sc.edu/etd/361"],"dc:rights":["© 2010, Hae Ho Lee"],"dc:subject":["Health Services Administration","Medicine and Health Sciences","Public Health","Hospital","Network","Performance","Resource Utilization"],"dc:title":["Review of Financial Performance and Efficiency Resources Utilization of Hospitals: Lessons Learned From U.S. Hospitals"],"thesis:degree_discipline":["Health Services and Policy Management"],"thesis:degree_level":["Campus Access Dissertation"],"thesis:degree_name":["Dr.P.H."]},"updated_at":"2026-07-24T04:36:50Z"}